91例猝死患者尸体解剖病理和临床的回顾性分析

目的探讨猝死的病因、病理基础及防治措施。方法回顾性分析我院91例猝死患者的临床病理资料。结果91例猝死患者中,老年人62例,占681%,非老年人29例,占319%。心源性猝死68例,占747%,其中冠心病43例,患者主要有冠状动脉多支严重病变;非心源性猝死23例,其中以急性出血坏死型胰腺炎所占比例最高,有10例。结论猝死以老年男性多见,有广泛严重冠状动脉病变的冠心病患者猝死发生率高。防治冠心病、改善心肌缺血等综合治疗对预防猝死十分必要。胰源性猝死主要为急性出血坏死型胰腺炎所致,误诊率较高。

Pathological and clinical retrospective analysis of sudden death in 91 cases

Objective To analyze retrospectively the clinical and pathological results and to discuss the cause and prevention and treatment of sudden death cases. Methods The clinical and pathological data of 91 sudden death cases admitted to our hospital was included. Results Among the 91 cases of sudden death, there were 62(68.1%) elderly patients. Out of 91 cases, 68 (74.7%) cases were cardiogenic death, including 43 cases died of coronary heart disease, about 63.2%. Most of them had serious atherosclerotic stenosis of the coronary artery with multiple branches involved. The primary cause in 23 cases of non cardiac sudden death was hemorrhagic necrotic pancreatitis(10 cases). Conclusions The sudden death frequently occurs in elderly men with severe and diffusive multiple atherosclerotic stenosis of the coronary artery. It is necessary to conduct combining treatment for coronary heart disease and to improve myocardial ischemia. The main characteristics of sudden pancreatogenic death is often caused by acute hemorrhagic necrotic and of high misdiagnostic rate.